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That is what this whole game is built around, I mean there is no radaway in real life if you take a large dose of radiaiton your screwed, you never be 100% again, but in this world they made drugs and what not that could clense radiation. Kids played with radiactive board games while their robot nannies fusion core hummed in the background as it folded their laundry.
This was all built around cold war era never ending and the dream tech they had invisioned being created, such as lazer guns, mini nukes, robots, and real legit fear of nuclear war.
Ford even had a model car, and concept in 1958 for a nuclear powered car, that thank gond never got built for real. Its all 1940-60 concept ideas of the future that never happened in that cold war era. Like they look a lot like some of the concept cars from late 40s when they were obesesed with two ideas making it more like an airplane, and some how putting a reactor in it.
The result is you have complex energy-hungry machines like Robotics and Power Armor, yet derpy vacuum tube terminals on the computer front.
The split can be best summarized as Industry versus Information. Our world is one of Information, the Fallout world is one of Industry. This is thematically appropriate, as the setting in Fallout pre-war is one of McCarthy era style blacklisting and paranoia.
the only stuff that may possibly be reversed engineered from alien tech is some enclave stuff
TL:DR version... The microchip was never invented in the Fallout timeline, hence the advanced, yet retro-looking tech...